Activities of Daily Living Checklist

Overview

Published: 08/15/2011

by Senior Care Society

Photos

Activities of Daily Life Checklist (ADL)

Check the level of function for each activity of dialing living listed below. This will help you determine how much assistance an elder needs. This information is useful for physicians, home health agencies and nursing home administrators.

Function

Independent

Needs Help

Dependant

Does Not Do

Bathing

Dressing

Grooming

Oral Care

Toileting

Transferring

Walking

Climbing Stairs

Eating

Shopping

Cooking

Managing Medications

Using the Phone

Housework

Doing Laundry

Driving

Managing Finances

Senior Care Society is a free community website committed to helping caregivers by providing support through articles, user forums, professional services and community events. We also offer a free caregiver portal that allows families to manage and coordinate care giving activities online.